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Enhanced immunity against to SARS-CoV-2 in returning ex-patriot Chinese
  • +22
  • Jiufeng Sun,
  • Runyu Yuan,
  • Huimin Chen,
  • Lina Yi,
  • Xinxin Li,
  • Ximing Hu,
  • Xing Li,
  • Huan Zhang,
  • Pingping Zhou,
  • Chumin Liang,
  • Huifang Lin,
  • Lilian Zeng,
  • Xue Zhuang,
  • QianQian Ruan,
  • Yueling Chen,
  • Yingyin Deng,
  • Zhe Liu,
  • Jing Lu,
  • Jianpeng Xiao,
  • Liang Chen,
  • Xincai Xiao,
  • Jing Li,
  • Baisheng Li,
  • Yan Li,
  • Jianfeng He
Jiufeng Sun
Guangdong Center for Disease Control and Prevention

Corresponding Author:[email protected]

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Runyu Yuan
Guangdong Center for Disease Control and Prevention
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Huimin Chen
Guangdong Center for Disease Control and Prevention
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Lina Yi
Guangdong Center for Disease Control and Prevention
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Xinxin Li
Guangdong Center for Disease Control and Prevention
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Ximing Hu
Guangdong Center for Disease Control and Prevention
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Xing Li
Guangdong Center for Disease Control and Prevention
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Huan Zhang
Guangdong Center for Disease Control and Prevention
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Pingping Zhou
Guangdong Center for Disease Control and Prevention
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Chumin Liang
Guangdong Center for Disease Control and Prevention
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Huifang Lin
Guangdong Center for Disease Control and Prevention
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Lilian Zeng
Guangdong Center for Disease Control and Prevention
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Xue Zhuang
Guangdong Center for Disease Control and Prevention
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QianQian Ruan
Guangdong Center for Disease Control and Prevention
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Yueling Chen
Guangdong Center for Disease Control and Prevention
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Yingyin Deng
Guangdong Center for Disease Control and Prevention
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Zhe Liu
Guangdong Center for Disease Control and Prevention
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Jing Lu
Guangdong Center for Disease Control and Prevention
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Jianpeng Xiao
Guangdong Center for Disease Control and Prevention
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Liang Chen
Guangdong Center for Disease Control and Prevention
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Xincai Xiao
Guangzhou Medical University
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Jing Li
Sinovac Life Sciences Co Ltd
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Baisheng Li
Guangdong Center for Disease Control and Prevention
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Yan Li
Guangdong Center for Disease Control and Prevention
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Jianfeng He
Guangdong Center for Disease Control and Prevention
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Abstract

Background Global COVID-19 vaccination programs effectively contain the fast spread of the SARS-CoV-2. Characteristic the immunity status of returned populations will favor for understanding the achievement of herd immunity and long-term management of COVID-19 in China. Methods Returning travellers were recruited from 7 quarantine stations in Guangzhou, China. The immunity statuses of participants were determined through Competitive ELISA, Micro-Neutralization Assay and Enzyme-Linked FluoroSpot Assay. Results A total of 272 subjects were involved in questionnaire survey, in which 235 (86.4%) were returning ex-patriot Chinese and 37 (13.6%) were foreigners. Blood and throat swabs specimens were collected from each of 108 returning ex-patriot Chinese. The neutralizing antibody against SARS-CoV-2 was detected in ~90% of returning ex-patriot Chinese, either in the primary or the homologous and heterologous booster vaccination group. The serum NAb titers of them were significantly decreased against SARS-CoV-2 Omicron BA.5, BF.7, BQ.1 and XBB.1 compare with prototype virus. However, memory T cell responses including specific IFN-γ and IL-2 were no differences in either group. Smoking, drinking, SARS-CoV-2 infection, COVID-19 vaccination, and the time interval between last vaccination and the sampling were independent influencing factors for NAb titers against prototype SARS-CoV-2 and variants of concerns. The dose of vaccination was the unique common influencing factor for Omicron variants. Conclusions The herd immunity was established in returning ex-patriot Chinese who exposure to the complicated infection and vaccination circumstance. Domestic residents will benefit from booster of COVID-19 vaccines either in homologous and heterologous vaccination after re-opening of China, as well as breakthrough infection.